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ICD-10-PCS 2027 procedure code

0WP643ZRemoval of Infusion Device from Neck, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Removal of Infusion Device from Neck, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0WP643Z

0WP643Z is the ICD-10-PCS code for a removal procedure on the neck using a percutaneous endoscopic approach with infusion device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to incision with removal of foreign body or device from skin and subcutaneous tissue, the ICD-9-CM procedure title it maps to (86.05).

For a different body part, codes include 0WP043Z (head), 0WP143Z (cranial cavity), 0WP243Z (face), 0WP443Z (upper jaw), 0WP543Z (lower jaw), 0WP843Z (chest wall) and 15 more.

The same procedure with a different approach is coded 0WP603Z (open), 0WP633Z (percutaneous) and 0WP6X3Z (external).

With a different device, use 0WP640Z (drainage device), 0WP641Z (radioactive element), 0WP647Z (autologous tissue substitute), 0WP64JZ (synthetic substitute), 0WP64KZ (nonautologous tissue substitute) and 0WP64YZ (other device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
WAnatomical Regions, General
3. Operation
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
6Neck

Includes: Parapharyngeal space; Retropharyngeal space

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
3Infusion Device

Includes: Ascenda Intrathecal Catheter; InDura, intrathecal catheter (1P) (spinal); Non-tunneled central venous catheter; Peripherally inserted central catheter (PICC); Tunneled spinal (intrathecal) catheter

7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 86.05Incision with removal of foreign body or device from skin and subcutaneous tissueapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0WP643Z

Is 0WP643Z a valid ICD-10-PCS code for 2027?

Yes. 0WP643Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0WP643Z?

The CMS GEMs map 0WP643Z to ICD-9-CM 86.05 (Incision with removal of foreign body or device from skin and subcutaneous tissue).